Transcript e` CARTA! mini contemporary papers

e’ CARTA! mini contemporary papers - International Exhibition Application Form
Name
Surname
Country
City
Post code
Address
Telephone
E-mail:
Website
 I also enclose the following documentation:
Application form completed and signed, JPG high-resolution photos
Brief artistic curriculum
Other
Title and year
Entry N. 1
Technique
Description
Title and year
Entry N. 2
Technique
Description
I, ______(Name and Surname of the applicant)____________________________ hereby certify that:
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I will participate to the selection process of the International Exhibition “e’ CARTA mini contemporary papers”
I accept this regulation in all its parts.
I grant and assign to “ Associazione La Forza del Segno” the right and permission to use, re-use, publish, republish, by any mean, including audio-visual media, the data and images that I have submitted, with explicit
consent for the processing of personal data under the terms of Law 675/96 and I declare to be informed about my
rights in accordance with articles 10 and 13 of that law.
Date………………………………
Sign………………………………………………………….